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[Neuropsychological outcome of head injury in children]
K Kunishio1, S Kawada, Y Miyoshi
1Department of Neurosurgery, Kagawa Central Hospital, Japan.
Insights
Head injuries in children can impact intelligence and personality, affecting school recovery. Neuropsychological evaluations are crucial for predicting outcomes and guiding rehabilitation after pediatric brain injury.
Area of Science:
- Neuroscience
- Pediatric Psychology
- Rehabilitation Medicine
Abstract:
Wechsler Intelligence Scale for Children-Revised (WISC-R) and Yatabe-Guilford personality test were administered to 31 children who had been hospitalized for head injury and made a GR or MD by the Glasgow Outcome Scale (GOS). The type of lesion, as defined by CT scan categories, was an important factor to prognosticate the outcome of intellectual function. The IQ, especially performance IQ, of acute subdural hematoma (EDH) or severe diffuse brain injury (DBI) was lower than that caused by other types of lesion. Several children demonstrated improvement in IQ level during the initial year. The difference between the IQ of the children who could return to previous school life and that of the children who could not was significant. One of the causes of difficulty in returning to previous school life is decreasing IQ and personality change such as social disadaptability. Neuropsychological evaluation is important in predicting school recovery and deciding proper neuropsychological rehabilitation.